MEDICARE: CHARALAMPOS A SPIRIDONIDIS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	35050452	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891804068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARALAMPOS A SPIRIDONIDIS MD

Provider Business Mailing Address
First Line	:	8100 RAVINES EDGE CT
Second Line	:	SUITE 100
City	:	COLUMBUS
State	:	OH
Zip	:	43235-5426
Country	:	US
Telephone Number	:	614-846-0044
Fax Number	:	614-846-3464

Provider Business Practice Location Address
First Line	:	8100 RAVINES EDGE CT
Second Line	:	SUITE 100
City	:	COLUMBUS
State	:	OH
Zip	:	43235-5426
Country	:	US
Telephone Number	:	614-846-0044
Fax Number	:	614-846-3464

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	07/08/2007

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Directions to “ CHARALAMPOS A SPIRIDONIDIS MD” Practice Location

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